Individual
DR. SHIVALI GOHEL GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
4320 GENESEE AVE STE 203, SAN DIEGO, CA 92117
(858) 541-7676
Mailing address
4320 GENESEE AVE STE 203, SAN DIEGO, CA 92117-4900
(858) 541-7676
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
62958
CA
Other
Enumeration date
11/08/2013
Last updated
08/09/2018
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